Active NPI
James A Kresge, RPAC
- Procedural Dermatology Physician
- Rochester, NY
National Provider Identifier
1073515839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 001096-1
- Practice address
- 30 N Union St
Suite 105
Rochester, NY 14607-1345 - Phone
- (585) 232-8940
- Fax
- (585) 232-8687
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010961 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 001096-1 | NY | Primary |
Addresses
Primary practice location
30 N Union St
Suite 105
Rochester, NY 14607-1345
Mailing address
30 N Union St
Suite 105
Rochester, NY 14607-1345
Phone (585) 232-8940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 001096-1 | NY | MD | Procedural Dermatology Physician |
| 001096 | NY | MD | Art Therapist |
| 0010961 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073515839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N UNION ST",
"address_2": "SUITE 105",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071345",
"telephone_number": "585-232-8940",
"fax_number": "585-232-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N UNION ST",
"address_2": "SUITE 105",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071345",
"telephone_number": "585-232-8940",
"fax_number": "585-232-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESGE",
"first_name": "JAMES",
"middle_name": "A",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0010961",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "001096-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.